Reimbursement
Amid emerging evidence that some hospitals may be using electronic health records (EHRs) to "game the system" by either cloning or "upcoding" claims, Health and Human Services Secretary Kathleen Sebelius and U.S. Attorney General Eric Holder sent a warning letter Monday to the CEOs of five hospital associations that such activity will not be tolerated.
Amid emerging evidence that some hospitals may be using electronic health records (EHRs) to "game the system" by either cloning or "upcoding" claims, Health and Human Services Secretary Kathleen Sebelius and U.S. Attorney General Eric Holder sent a warning letter Monday to the CEOs of five hospital associations that such activity will not be tolerated.
In the widespread quest to find remedies for America's pricey healthcare system, some say the answers lie locally, from the bottom up.
Proposed federal legislation removing costs associated with insurance brokers from the Affordable Care Act's medical loss ratio has reignited a debate about rising costs and consumer protections, with a new report from the Consumers Union contending that the legislation could lead to significant reductions in consumer rebates.
A patient spends just a few hours or days under the supervision of a clinician or nurse after a surgery or hospitalization. The rest of the recovery time and healing process is done within the patient's home. It's important to be able to retrieve real-time information from patients within these critical post-hospital days so physicians can spot trends and respond in a timely fashion if something needs immediate attention.
McKesson on Monday announced that it will acquire Waltham, Mass.-based MedVentive, which develops risk management and population health technology.
As the nation ages, Medicaid enrollment expands and state governments look for budget savings, more states are likely to use long term managed care for Medicaid programs, according to KPMG's Healthcare and Pharmaceutical Institute.
New Jersey lawmakers considering conflict-of-interests modeled on casino regs
In New Jersey, lawmakers and industry stakeholders negotiating HIX legislation are trying to reconcile differences on proposed conflict of interest rules for the governing board, WHYY's Newsworks reported.
Per capita healthcare spending for people with employer-sponsored health insurance (ESI) increased 4.6 percent in 2011, an acceleration of the 3.8 percent increased reported for 2010, according to a new report released today by the Health Care Cost Institute.
With debate still swirling around the Aug. 23rd release of the final rules for meaningful use Stage 2, one CIO offers four reasons to celebrate it.